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2. Instructions

   Please fill out the following form. The Library can send you copies of the obituaries that you request if you include your mailing address. Our Library requests a dollar donation for this service which you may send after receiving the copies. Thank you.

4. Your Name
6. Mailing Address
8. E-Mail Address
9. Phone Number
11. Name of the person for whom you would like an obituary
12. Date of Death
    Date of Death
13. Newspaper Citation from the Index
15. Additional Information
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field